Bedside Ultrasound Diagnosis of a Traumatic Bladder Rupture

Wu, Teresa; Pearson, Thomas C.; Meiners, S.; Daugharthy, Jennifer

doi:10.1016/j.jemermed.2011.01.022

Cited by 16 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For this reason TBR are rare, representing only 0.87–1.6% of all blunt abdominal trauma cases [3] , [4] . The injury mechanisms of TBR are various: a) primary, due to a direct blow to a distended bladder, while there is a direct correlation between bladder distension and the extent of injury [7] , [8] ; b) secondary, due to shearing forces during high-energy blunt abdominal trauma leading to pelvic fracture; c) due to penetrating injuries and d) due to various iatrogenic causes [2] . Traumatic urinary bladder injuries are classified in bladder contusions (i.e., damage to mucosa or muscularis without full-thickness lesion), intraperitoneal (IBR) or extraperitoneal ruptures (EBR) [2] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Combined intra- and extraperitoneal urinary bladder rupture – a rare seat-belt injury: A case report

Grünherz

Startseva

Kozomara-Hocke

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

HighlightsCombined intra- and extraperitoneal traumatic urinary bladder ruptures without an underlying fracture are an absolute rarity.Timely diagnosis and appropriate therapy of urinary bladder ruptures are crucial in order to reduce postoperative morbidity.Physicians should maintain a high level of suspicion for urologic injuries following blunt abdominal trauma in the presence of nonspecific lower abdominal pain, gross haematuria and the inability to urinate.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The injury mechanism of IBR is a direct blow to the lower abdomen with a distended bladder, for example caused by a seat-belt injury, as seen in the presented case. In this constellation, the urinary bladder will rupture at its anatomically weakest point, the apex vesicae [5] , [8] .…”

Section: Discussionmentioning

confidence: 99%

Combined intra- and extraperitoneal urinary bladder rupture – a rare seat-belt injury: A case report

Grünherz

Startseva

Kozomara-Hocke

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…The advantages and disadvantages of each have been well discussed elsewhere [5,9,10]. Research indicates that even when retrograde cystography is strongly indicated, it is rarely performed because it is both resource and time consuming [9], factors that may have also contributed to historically high mortality rates for bladder rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Although fluid collection from a suspected bladder rupture is most commonly seen collecting posterior to the bladder in a supine patient, anterior collection of fluid has also been reported [10], so the EP should always evaluate both vesicular areas. The presence and contour of the superior bladder wall can also be visualized and evaluated for irregularities.…”

Section: Discussionmentioning

confidence: 99%

Bedside ultrasound diagnosis of atraumatic bladder rupture in an alcohol-intoxicated patient: a case report

2012

View full text Add to dashboard Cite

Most commonly, patients who present to the emergency department with a history and physical examination suggestive of urinary bladder rupture report a preceding traumatic event. Spontaneous atraumatic bladder rupture is relatively uncommon, but can occur in the context of a recent alcohol binge. The alcohol-intoxicated patient presents diagnostic and therapeutic challenges to the emergency physician (EP) that take on additional urgency given the high mortality of unrecognized bladder rupture. This case report reviews bladder anatomy, the unique physiological changes in the alcohol-intoxicated patient, and the high mortality rate of a ruptured urinary bladder. We review the historical diagnostic imaging options followed by a discussion of how bedside ultrasound could expedite diagnosis and management. We present the case of a patient with spontaneous atraumatic rupture of the urinary bladder after a recent alcohol binge. Bedside ultrasound was utilized by the EP to determine the need for emergent surgical consultation and intervention. We recommend that EPs consider bladder rupture in their initial evaluation of patients presenting with nonspecific abdominal pain in the context of recent alcohol intoxication. When using bedside ultrasound to evaluate the pelvis, the presence of anterior or posterior vesicular fluid collections, the loss of normal pelvic landmarks, or irregularities in the bladder wall may increase the EPs suspicion for this disease entity and expedite time-sensitive management.

show abstract

“…These are often unavailable in limited-resource settings. Case reports exist documenting recognition of bladder rupture on ultrasound 3. Although ultrasound is neither as sensitive nor as specific a test, it may play an important role in evaluating such patients in limited-resource settings.…”

Section: Descriptionmentioning

confidence: 99%

Eight-year-old boy presenting with abdominal distention after blunt trauma in Liberia

Vinograd

Camara

Konneh³

et al. 2016

BMJ Case Reports

View full text Add to dashboard Cite

Bedside Ultrasound Diagnosis of a Traumatic Bladder Rupture

Cited by 16 publications

References 6 publications

Combined intra- and extraperitoneal urinary bladder rupture – a rare seat-belt injury: A case report

Combined intra- and extraperitoneal urinary bladder rupture – a rare seat-belt injury: A case report

Bedside ultrasound diagnosis of atraumatic bladder rupture in an alcohol-intoxicated patient: a case report

Eight-year-old boy presenting with abdominal distention after blunt trauma in Liberia

Contact Info

Product

Resources

About